Orthopedic Self-Care # VIROCHOSPITAL

Wednesday, 14 March 2018

When your hands get to close to stove, what would be the
reaction? Oops! You will suddenly take off your hand. This is nothing but the
nerve reaction. As soon as your hand goes close to stove, the nerve endings are
activated and they send a pain signal to the brain. And you pull back before
you burn yourself.

But if you have nerve damage, that system won’t work
properly. Damaged nerves will send false signals to the brain which causes real
pain.

The above mentioned example is a small glance of the whole
nervous system. There is much more to understand about it, it is beyond the
scope of this blog. Here we will try to understand the nerve pain.Whatever we do, the nervous system is
involved in that, from breathing to controlling the muscles and to the senses
of temperatures.

There are chances of damage to two different types of
nerves, or even damage to three types of nerves. e.g., you may feel weakness in
your leg and burning sensation simultaneously.

Now you might have clear idea about the nerves and the
possible symptoms of the nerve damage as particular. Because the nerves are
essential to all we do, nerve pain and damage can affect our quality of life
seriously.To know how to tackle with
such damages keep reading our blogs. Next blog would be regarding treatment of
nerve pain.

Wednesday, 7 March 2018

Another name for Muscle Cramps is
Charley Horse. It can occur in any muscle but most commonly seen in legs (Calf
Muscles). A sudden catch in a muscle with agonizing pain which may last for few
seconds or minutes.

Sunday, 4 March 2018

There was no control
over medical orthopedic implants. Margins on orthopedic implants was as high as
300% of landed price. This was due to huge margins at various levels of the
supply chains.

The National
Pharmaceutical Pricing Authority (NPPA) has started monitoring the prices of
orthopedic implants also.

According to NPPA the
total trade margin is the MRP minus import price. In this, distributor &
hospital get a margin of around 300%. Ultimately the company importing these
implants earns a margin of around 70-75%. Around 1.15-1.50 crore people require
knee surgery in India, but they couldn’t get the benefit due to such unexpected
prices.

Now at present
Government has announce slash over these implant prices.
The costs of knee implants will now have around 60-65% reduction. This fleecing
slash over implant costs seems like a good news for the people with knee
problems. Knee implant costs were ranges around 80,000-1.15 lacs. Now they are
available at 65,000/- INR.

Recently committee
meeting was set at our hospital. This decision of government was not absorb by
the orthopedic surgeons nationally and locally in Baroda. Viroc hospital aims
to their patient. So, to transfer brilliant idea came into picture during the
meeting. The mission was not to gain acute patients, but it was larger than
life. The idea was, Viroc hospital welcomes the price slash to implants and hospital will provide the same discount in
procedure/hospital chargers rather increasing it. Despite of sustaining such
loss, no other institute would be able to absorb such slash by decreasing their
own hospital costs.

Such idea was cursed
by the other orthopedic doctors locally. We appealed them that this decision
was for social cause. This mission would benefit not only the patients but
there would be benefit to whole implant industry and to orthopedic surgeons
also. The only armamentary to compensate such losses for implant industries and
for hospital is to increase all over turnover.

Such decision is ultimately
going to increase the number of patients to get maximum benefit. So, by keeping
a larger goal in mind this mission was set to serve maximum advantage to the
patient and ultimately to the society.

Sunday, 25 February 2018

Soreness and swelling over base of finger with painful clicking or snapping sound while bending/straightening finger is called Locking finger/trigger finger.
Morning stiffness with popping sound while straightening or bending finger like a triggering of a gun occurs due to swelling in tendon of finger and a covering over it does not allow going tendon through it while doing any movement of finger.
Morning habits to get rid of this condition are so easy with effective outcome.

1. Stretch your palm

This will help you to relieve morning stiffness

Make a fist and open your fingers at fullest with all fingers apart from each other to feel stretch

Hold position for 10 seconds (9-10 repetitions)

This will also help your muscles to get relaxed

2. Stretch your fingers

Place your affected hand over flat surface

Lift your painful finger up while keeping other fingers flat on the surface

Hold it for 10 seconds

Get your mobility back by doing this 5-7 times

3. Warm water soaking

Soaking your fingers in warm water for about 8-10 minutes will allow your fingers to move smoothly and will also reduce pain and swelling.

These morning habits would show excellent results in early detection of locking/triggering finger in almost 6/10 sufferers.
Only 4-5 patients may require a small procedure;

“Walk In and Out Procedure”

1-2cm minor incision and release of swollen tendon with total satisfactory success rate.

4. Squeeze the smiley ball

Strengthen your muscle after reducing swelling and pain

Take a smiley ball and squeeze it with your hand with full strength

Hold it for 5 seconds and do it 5-10 times

5. Resistance to your finger

To get better blood flow to your affected finger try this

This will also strengthen your finger

Place hand over a flat surface with all fingers placed together

Apart your fingers and give opposite direction force to the affected and its adjacent finger with the help of opposite hand while maintaining counter force of both the fingers

Hold this for 5-10 seconds and repeat 5-10 times for better results

6. Towel grab

Place your hand over a towel with palm facing downward

Grab the towel with help of your hand but without curling of fingers

Hold it for 10 seconds and then relax

Do it for 10-15 times

7. Make your finger dance

Dancing finger exercise is a synchronized movement of fingers which would help you to get relieved from your triggering

Support elbow on a surface with fingers pointing at ceiling with thumb near to the fingers

Slowly bend fingers , curl them towards palm, make a fist and again open up them, as if fingers are dancing up and down
10-15 repetitions are required minimum

8. Massage

Most popular and effective treatment

Massage the finger with aloe Vera gel (Natural anti-inflammatory agent) or with the coconut oil gently from bottom to the tip of the finger
5-10 minutes are enough

This will also improve blood circulation and will also help to reduce swelling of the ligament
Ultimately leads to faster recovery

These morning habits would show excellent results in early detection of locking/triggering finger in almost 6/10 sufferers. Only 4-5 patients may require a small procedure;

“Walk In and Out Procedure”

1-2cm minor incision and release of swollen tendon with total satisfactory success rate.

Thursday, 10 August 2017

Get rid of your elbow pain by using
best self-care techniques. No medications or no steroids are required.

Are you having pain in your outer part of elbow while twisting the key?

Is shaking hand with client has become so painful?

Are you not carrying your child due your elbow pain?

Are you tired of wearing uncomfortable welcrow straps and brace?

Is lifting a bucket of water for bath has become difficult?

Does your elbow say “please stop” while making a chapati or roti?

Are you disturbing your upper arm and shoulder due to your elbow Pain?

Did your doctor suggest for steroid injections?

“Doctor says surgery for your tennis elbow, same way as SACHIN TENDULKARhas gone through” are you kidding!!!!
Do you have a pocket full of money like him?

If your
answer is “yes “to any of questions asked above then i will tell you what has
been happened to you;

This is
known as Tennis Elbow(pain in outer part of the elbow).

It is not necessary that this will happen to tennis players only.

This can
happen with a housewife, a desk job worker, a cook, a computer worker, a
teacher, as they all have a work which makes repetitive forearm muscles
movement.

Prolonged
and repetitive movement leads to inflammation of the point from where these muscles
arise.

Occurs
due to overuse of your forearm (extensors) muscles.

This will
lead to pain in outer part of your elbow (side
away from your body)

Very
common condition, yet not to be ignored.

Overuse
of muscle could involve repetitive and prolonged lifting, gripping, pinching,
turning a jar lid or door knob or key, making a dough etc.

More
frequently occurs in dominant hand.

Caution: do not confuse other condition with tennis elbow. Tennis elbow pain can be localized at the outer part of the elbow
i.e., bony prominence out there. If you have pain rather than this site then you may have other
problem.

If you
are awakened at night due to this pain

If you
are not able to sign on a cheque

If you
are facing problem in lifting your mug full of
milk

Let me
tell you one thing, you are not alone!!!!!!!!!

Now you
probably are wondering

Will this
type of elbow pain go away on its own or is it more serious condition that needs to be evaluated by your doctor?

First of all,
if you have severe symptoms and even not able to extend your arm, then you
required doctor’s attention!!!!!!!!!

But if
you don’t have money tree out back, then it’s time to
think smarter and strategically.